| 曹晶雯,龚文艳.产后静脉血栓栓塞症发生的高风险因素分析[J].上海护理,2023,23(6): |
| 产后静脉血栓栓塞症发生的高风险因素分析 |
| Analysis of risk factors of Venous Thromboembolism in postpartum women |
| 投稿时间：2022-06-07 修订日期：2023-05-23 |
| DOI： |
| 中文关键词: 产后 静脉血栓栓塞症 高风险因素 |
| 英文关键词:postpartum women Venous Thromboembolism Risk Factors |
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| 中文摘要: |
| 目的 分析产后静脉血栓栓塞症 （venous thromboembolism，VTE）的高风险因素。方法 通过病例对照研究的方法，选取2020年1月～2020年12月在我院某产科病区产后并发VTE的产妇52例为观察组，选择与观察组分娩时间相邻3天的产后未并发VTE的208例产妇进行1:4的病例对照研究，通过SPSS26.0统计软件进行单因素和Logistic统计分析，剖析产后并发VTE的高风险因素。结果 多因素Logistic回归结果显示，年龄≥35岁、计划性剖宫产或紧急剖宫产、糖尿病、分娩前BMI为25～29.9kg/m2、血液活化部分凝血酶原时间缩短是影响产后妇女发生VTE的独立危险因素（P＜0.05）。结论 年龄≥35岁、计划性剖宫产或紧急剖宫产、糖尿病、血液活化部分凝血酶原时间缩短、分娩前BMI为25～29.9kg/m2的产妇更易产后并发VTE，医护人员应高度重视高危产妇的识别及早期干预，保证产妇安全。 |
| 英文摘要: |
| Analysis of risk factors of Venous Thromboembolism in postpartum women
【Abstract】Objective To analysis the risk factors of Venous Thromboembolism(VTE) in postpartum women. Methods From January 2020 to December 2020, retrospective analysis was used to analysis the data of 260 postpartum women. The 52 parturients with VTE and 208 cases without VTE were analyzed by SPSS26.0 statistical software for single factor and multivariate logistic regression analysis to determine the high-risk factors affecting the occurrence of postpartum VTE. Results Multivariate Logistic regression showed that age over 35,caesarean section, diabetes mellitus, BMI between 25～29.9kg/m2 before delivery and activated partial thromboplastin time were independent risk factors of VTE(P＜0.05). Conclusion Clinicians should pay attention to the identification of high-risk patients and early intervention to avoid the adverse effects of VTE . |
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